Healthcare Provider Details

I. General information

NPI: 1689803686
Provider Name (Legal Business Name): MONICA SARAWAGI MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 07/31/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

REGIONAL WEST PHYSICIAN CLINIC 1275 SAGE STREET
GERING NE
69341
US

IV. Provider business mailing address

REGIONAL WEST PHYSICIAN CLINIC 1275 SAGE STREET
GERING NE
69341
US

V. Phone/Fax

Practice location:
  • Phone: 308-436-2101
  • Fax: --
Mailing address:
  • Phone: 308-436-2101
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number27012
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number56941
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberC176159
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number27012
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: